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Introduction: Carpal Tunnel Syndrome is a stretch of the median nerve caused by pressure on the median nerve in the carpal tunnel when the nerve passes through the tunnel. So that pain, paraesthesia, and numbness appear in the area through which the median nerve passes. Purpose: This case report was aimed to determine the effect of physiotherapy interventions in the form of Ultrasound Therapy, Wrist Stretching, and Tendon Gliding exercise on a female patient aged 66 years. Method: A Case report was conducted 3 times over two weeks by evaluating pain using the Numeric Rating Scale (NRS), a wide range of motion using a goniometer, and the patient’s functional activity using the DASH questionnaire. Result: There was a decrease in motion pain from the value of the NRS scale 6 to the NRS scale 4, and tenderness from the value of the NRS scale 2 to the NRS scale 1. An increase in the range of motion of the joint in dorsiflexion and active palmar flexion movements from T1 (S: 40̊ - 0̊ - 45̊) to T3 (S: 40̊ - 0̊ - 45̊), in the active radial and ulnar deviation movements from T1 (F: 15̊ -  0̊ - 20̊) to T3 (F: 15̊ -  0̊ - 25̊). Functional improvement in patients with DASH results from 61 to 50. Conclusion: The effects of ultrasound therapy, wrist stretching, and tendon gliding exercises are that they can reduce pain, increase ROM, and increase functional activity in patients with carpal tunnel syndrome.

Introduction: acute postpartum pain is caused by physiological changes that occur in postpartum mothers such as degeneration and necrosis at the placenta, the return of the uterus to its pre-pregnant condition, and changes in the vulva and vagina, in which case postpartum mothers need knowledge in providing warm compress relaxation therapy to reduce the pain felt after childbirth. Purpose: This case study is to analyze the implementation of warm compresses on Mrs. K, postpartum pregnancy serotinous patient with a nursing diagnosis of acute pain in Gincu Room 1, Indramayu Regional Hospital. Method: The method in this writing uses a case study. Data collection uses nursing care process which includes assessment, diagnosis, intervention, implementation and evaluation. As well as NRS (Numerical Rating Scale) as a pain scale instrument. Results and Discussion: before the warm compress was applied, the pain scale was 9 (0-10) with a response to complaints of pain, the patient grimaced, said he had difficulty sleeping, the patient only focused on himself and did not follow orders. After 2 days of giving the warm compress for 15 minutes, there was a change in the scale pain becomes 5 (0-10) with the response to the patient's complaint of pain, the grimace has decreased, the patient can sleep, the patient can focus and follow orders well. Conclusion: based on the implementation of warm compresses that have been carried out on Mrs. For postpartum pregnancy serotinous patients with a nursing diagnosis of acute pain in the Gincu Room 1, Indramayu Regional Hospital, the problem of acute pain in the patient can be resolved and the patient's outcome target is achieved.

Introduction: Low back pain is one of the most common musculoskeletal disorders in the world. In general, this pain is caused by muscle stretching and increasing age which will cause the intensity of exercise and movement to decrease. This will cause the back and abdominal muscles to become weak. Objective: In this study, to analyze the effect of warm compresses of red lemongrass (cymbopogon nardus) on reducing the scale of lower back pain in fishermen in Negeri Latuhalat, Nusaniwe District. Method: Using a one group pre test-post test design, this research design is included in the Pre-Experimental research type and the sample size is 56 fishermen using instruments in the form of SOPs and observation sheets. The analysis used is the Willcoxon test. Results: It was found that there was an effect of warm red lemongrass (Cymbopogon nardus) compresses on reducing the scale of lower back pain in fishermen (p-value = 0.000). Conclusion: There is an influence between the pain scale before and after being given a warm compress of red lemongrass (cymbopogon nardus) on reducing the scale of lower back pain in fishermen in Negeri Latuhalat, Nusaniwe District.  

Computer network training at SMKN 5 Surabaya is an activity that aims to provide students with knowledge and skills in the field of computer networks. This training is usually given to students majoring in Computer and Network Engineering (TKJ). The material taught in computer network training at SMKN 5 Surabaya includes: Introduction to computer networks, network topology, network addressing, implementation of the training using a blended learning approach, which combines theoretical and practical learning. This method has proven effective in improving students' conceptual understanding and technical skills. (Garrison and Vaughan, 2008) state that this approach is able to answer challenges in vocational education by combining the advantages of face-to-face and online learning. In addition, collaboration with industry through internship programs provides students with valuable practical experience, which strengthens their readiness to enter the world of work. (Anderson and Solis 2018) reveal that industry involvement can increase the relevance and quality of vocational education. However, this research also identifies several challenges that need to be overcome to ensure sustainability and improve the quality of training. One of the main challenges is limited resources, especially in terms of equipment and software which are always evolving. Continued investment and professional training for teachers is key to overcoming this challenge. (Smith and Ragan 2005) emphasize the importance of professional development for teachers in maintaining educational quality. With continued commitment from all parties, computer network training at SMKN 5 Surabaya is expected to continue to provide significant benefits for students and industry.

This Community Service aims to introduce English to toddlers at Fina Sembiring Clinic, Medan Polonia District, through a play-based learning approach in 2024. The program utilizes interactive teaching methods that combine educational games, children's songs, and picture stories to create a fun and effective learning environment for the children. By using this strategy, it is expected that children can develop basic English skills, such as vocabulary, pronunciation, and basic comprehension through age-appropriate activities. Active parental participation is also a focus of this program, providing guidelines and brief training to help them continue practicing English at home. The effectiveness of the program is evaluated through direct observation, interviews with parents, and language development tests specifically designed for toddlers. The results of this activity show that the play-based learning approach can increase children's interest and basic English skills. Moreover, active parental involvement proves crucial in supporting the success of this program. In conclusion, this approach not only improves toddlers' English skills but also creates a positive bond between children and parents in the learning process.

This study aims to examine and describe the prayer learning model applied in Raudhatul Athfal (RA) Baitul Qur'an. The approach used in this study is a qualitative approach with data collection techniques through observation, interviews, and documentation. The researcher acts as the main instrument assisted by supporting tools in the form of interview guidelines, mobile phones, and field notes. The data obtained are analyzed through the stages of data reduction, grouping data into certain units, categorization, checking the validity of the data (including credibility, transferability, dependability, and confirmability), as well as interpretation and drawing conclusions. The results of the study indicate that the prayer learning model in RA Baitul Qur'an includes classical, group, corner, area, cooperative, and direct learning models. The programs implemented include: (a) introduction to ablution members, ablution procedures, and prayers before and after prayer; (b) introduction to prayer movements and memorization of prayers in and after prayer; and (c) practice of prayer implementation, namely the practice of praying every Friday and dhuha prayer every two weeks. These models are used to instill an understanding and skills of prayer worship in early childhood in a gradual and enjoyable way.

This study aims to analyze the implementation of Fiqh learning using the Contextual Teaching and Learning (CTL) approach at MI Muhajirin. The type of research used is qualitative with a descriptive analytical approach. Data sources consist of primary and secondary data, which are obtained through observation, interview, and documentation data collection techniques. Data validity is guaranteed by triangulation techniques. The results of the study indicate that the implementation of CTL in Fiqh learning at MI Muhajirin is carried out in three stages: (1) initial activities that include introduction, (2) core activities, and (3) closing activities. Supporting factors in this learning include Fiqh reference books, teacher guidance, and parental support at home which also helps the learning process. The inhibiting factor is the difference in students' abilities in understanding the material, where there are students who understand quickly and some who need more time to grasp the lesson.

Introduction: Single Cell Protein (SCP) is a term used for proteins produced from microbes such as bacteria, algae, yeasts, and fungi. One of the fungi known to produce PST is Aspergillus niger. Objective: The purpose of this study was to determine whether pineapple peel waste could produce single cell protein from A. niger culture and to determine differences in protein production with the addition of nutrients in the fermentation medium. Methods: This research method is an experimental method with the independent variables being MFKN1 medium (Pineapple Skin Fermentation Medium with the addition of KH2PO4 and sugar), and MFKN2 medium (Pineapple Skin Fermentation Medium with the addition of KH2PO4, (NH4)2SO4 and sugar); and the length of fermentation time used are days-0, 2, 4, and 6. The dependent variables of this study were analysis of protein content, dry weight of cells, glucose levels, pH and temperature. The data from this study were statistically analyzed using the two way Anova method. Results: The results of this study obtained the highest protein content in MFKN2 media, namely 0.80% (day-2); cell dry weight 0.473 g; glucose level 1.3406%; pH 4.6 and temperature 31 oC. Meanwhile, the highest protein content in MFKN1 media was 0.59% (day- 4); cell dry weight 0.346 g; glucose level 1.3406%; pH 3.7 and temperature 26.6 oC. Conclusion: The conclusion of this study is that pineapple peel waste can produce single cell protein from A. niger culture and there are differences in protein production results with the addition of nutrients, where protein content in MFKN2 medium is higher than protein content in MFKN1 medium.

Introduction: Anesthesia is a complex pharmacological Response induced by a chemically heterogeneous class of Drugs, the so-called general anesthetics Every year, tens of Millions of patients are exposed to general anesthetics Drugs that remove the most precious human attribute Consciousness. By allowing for prolonged invasive Procedures, general anesthesia is one of the foremost Achievements of modern medical science However, there Is no objective or widely accepted definition of general Anesthesia. Aim of the study: The aim of study uses of prophylactic nebulized steroids therapy on postoperative cough in a heavy smoker patient under elective extra thoracic surgery. Results: The data was analyzed using the statistical program IBM SPSS Statistic 28 the results attached below were obtained based on the following hypotheses and aim of this study (The aim of study use of prophylactic steroids therapy on postoperative cough for heavy smoker patient under elective extra thoracic surgery). Discussion: In this study, it was attempted to determine the effect of steroids therapy on post-operative cough in patients ­smoking. And there was high-significant data for each drug group. From this data we note that from study questionnaire the use of nebulizer pulmicort which is making less side effect on patients from than using systemic dexamethasone to patients. and be better drug used for patient who have chronic disease such as (hypertension, diabetic mellitus, problem in respiratory system and complication. Conclusion: from all results in this study, we can conclude that there is a significant effect on shortness of breath and high significant data variable effect on cough according to data research. 

Good nutrition is an important foundation for a child to grow and develop optimally, especially children who grow and develop in vulnerable environments. The results of the 2021 Nutritional Status survey show that 1:4 Indonesian children experience stunting and 1:10 children experience malnutrition. Prevention of stunting must be as early as possible, starting from portions of the plate with balanced nutritional content. Tempeh is a fermented product made from soybeans, the price is quite cheap, tempeh is also the best source of energy and protein, tempeh contains prebiotics which are good for the intestines, low in sodium and carbohydrates. 84 grams of tempeh contains 162 calories, 15 grams of protein, 9 grams of carbohydrates, 9 milligrams of sodium and many others. Efforts can be made to increase the knowledge and skills of cadre mothers and mothers of toddlers by conducting counseling, demonstrations and simulating tempe food. This dedication has a positive effect on knowledge, skills and ideas in making a variety of healthy snacks. The aim of this community service is so that mothers of babies and toddlers know and understand that tempeh food can be processed into various healthy snack ingredients to prevent stunting. The method of implementing activities in general includes the stages of introduction, counseling, demonstration and evaluation. It is hoped that in the future, cadre mothers and the community, especially mothers who have babies and toddlers in RW03 RT02, Kualu Village, Tambang Kampar District, will be more creative in making preparations made from tempeh that are rich in nutrients in an effort to prevent stunting and more often seek the latest information about nutrition in the reproductive cycle.

In an era driven by rapid technological development, human information needs are increasingly complex, so companies must be able to provide technological information facilities to compete in business in the global market. Mobile banking is a manifestation of the progress and development of information technology in the banking sector (Dwi Mutiara Sari, 2021 ) Based on the problem formulation explained in the introduction, a community service activity was prepared with the topic "Socialization and Assistance in Opening Bank Muamalat Online Accounts (MDIN)". Students are taught about Bank Muamalat products, including opening an account via the Muamalat DIN mobile banking application. The Muamalat DIN application is a mobile banking application from Bank Muamalat that makes it easy for customers to access services anytime and anywhere. Muamalat DIN is the latest sharia mobile version from Bank Muamalat Indonesia which offers various conveniences and facilities for customers (Shafaliza Risfany, 2022). Based on the results of the dedication and discussion, we can conclude that opening an online account makes it easier for customers to open an account without having to go to a Bank Muamalat branch office and also makes it easier for customers to use Bank Muamalat services or products. The Muamalat DIN application is a mobile banking application from Bank Muamalat that makes it easy for customers to access services anytime and anywhere.

Indonesia has very diverse geographical conditions and regional landscapes, this causes Indonesia to have a very high risk of vulnerability to natural disasters. According to the international body that handles disaster risk, namely the United Nations Office for Disaster Risk Reduction (UNISDR), Indonesia is an area with very high disaster risk. Regarding the occurrence of natural disasters, of course there is a need for a disaster management system that goes through several stages and is carried out with the aim of reducing the risk of disasters occurring.

Introduction: Hypertension or high blood pressure is a disease characterized by an increase in blood pressure above normal that is progressive. Hypertension has become a world health problem due to its high prevalence and risk of causing heart, stroke, and kidney complications. The purpose of this study was to see if stress, smoking, diet and physical activity had a relationship with the incidence of hypertension in the working area of the UPTD Ladang Tuha Health Center, Paya Ateuk Village. Methods: This study uses a quantitative research design that uses an analytical descriptive method with a cross sectional approach. The population in this study is all heads of families in Paya Ateuk Village as many as 558 people. The sample selection technique used was purpose sampling which was determined by the slovin formula and obtained 85 samples. The collected data was then tested univariately to see the frequency distribution and bivariate using the chi-square (P-Value) test to see the influence between the variables. Results:  The level of community stress was related to hypertension (p-value 0.000 < 0.05). Smoking habits also had a significant relationship (p-value 0.037 < 0.05). Diet was shown to be closely related to hypertension rates (p-value 0.000 < 0.05). Physical activity showed a significant correlation with hypertension (p-value 0.001 < 0.05). Conclusion: stress, smoking, diet and physical activity have a relationship with the occurrence of hypertension, this is supported by test results that get a P-value of less than 0.05.  

Introduction: Haemoglobin levels are low (< 12 gr/dl) in adolescent women cause less blood (Anemia) causes to reduced focussing their study. JuFe programme is an innovation programme held by public health office of Cianjur through giving Fe tablets to adolescent women in Cianjur with consume Fe tablets every friday simultaneously in high schools. Objective: To determine the relationship between knowledge, attitude and compliance in JuFe programme with haemoglobin levels in adolescent women in the school partnership of Puskesmas Gekbrong Cianjur 2024. Method: This research used cross sectional study research design. The sampling technique is non random sampling are 35 peoples. The research instrument used a questionnaire, Results: This study found a relationship between knowledge (p=0,000), attitude (p=0,000), and compliance (p=0,000) with haemoglobin levels. Conclusion: there are the relationship between knowledge, attitude, and compliance in JuFe programme with haemoglobin levels in adolescent women in the school partnership of Puskesmas Gekbrong Cianjur 2024. Suggestion: It is the best health workers and teachers to increase education to adolescent women about low haemoglobin (Anemia) and implementing JuFe Programme routinely.

The education sector must utilize the latest technology in the classroom in the era of globalization and rapid advances in information technology. Using text, graphics, audio, and video together, interactive learning materials have been proven to increase student understanding and engagement. Kindergarten (TK) is a place where children are introduced to the environment and the basic principles of learning. Introducing children to various types of transportation is believed to be very important because it is the first step in helping them broaden their horizons and become familiar with the types of transportation in their environment. Apart from that, children are very interested in and liked transportation, so it must be packaged attractively so that it can arouse their curiosity in learning.

Calistung learning is part of the Early Childhood Education (PAUD) Curriculum. Basically, Khalistan learning focuses on teaching reading, writing and arithmetic skills. This is stated in Appendix I to the Regulation of the Minister of Education and Culture of the Republic of Indonesia (Permen) No. 137, Content Standards for Developmental Achievement Levels for Children 4-5 Years and 5-6 Years (STPPA). 2014. This introduction aims to prepare children to continue to the next level of education, namely basic education. However, the ideal Calistung PAUD learning model is still a serious problem in a broader context, especially when combined with the possibility of further SD/MI entrance exams in the form of the Calistung test. Many elementary schools/MIs hold Calistung entrance exams as a prerequisite for accepting new students according to standards  

Micro, small and medium enterprises (MSMEs) play an important role in the Indonesian economy. Tulungagung Regency is one of the regions in East Java that has quite large MSME potential. Even though they have quite large income potential, MSMEs in Tulungagung also face a number of challenges such as a lack of knowledge among business actors regarding promotional media, use of technology, use of social media, as well as obstacles related to marketing and market access that does not reach many groups. One effective solution to overcome the obstacles faced by MSMEs is a business mentoring program, which enables MSMEs to acquire the knowledge and skills needed to design and implement effective promotional strategies. The data collection method uses primary data through interviews, observation, practice, and documentation and secondary data, using literature. The analysis used in mentoring MSMEs is a descriptive method with a qualitative approach in the form of descriptions and narratives complete with pictures and explaining conditions during mentoring MSMEs. Efforts to optimize promotional media through business assistance is a program used to help improve better promotional methods so that they can expand the marketing reach of MSMEs, especially in Tulungagung Regency. The flow of assistance carried out is, program introduction, delivery of material, implementation of promotional media practices, and closing. This activity was carried out in Tulungagung Regency, with a target of assisting 32 businesses every month. With this systematic approach, it is hoped that MSMEs can increase the visibility of their products, expand market reach, and build a strong brand identity. In addition, active participant participation and input from them also allows the program to continue to be improved and adjusted to be more effective in the future.

This service was carried out to provide education to the people of Bantul after the closure of the Piyungan Bantul TPA. This service was carried out on May 10 2024 at the Kasih Bunda Clinic Hall. This activity involves various groups of residents around the Clinic, starting from young teenagers, adults and the elderly. The activity starts at 09:00 WIB and finishes around 15:00 WIB with several educational materials. The result is that this activity is an effort to educate ourselves through recognizing the type of waste that is closest to us, so that it is easier to reach. From the initial introduction to education on waste management, some participants only just understood the importance of sorting waste because in the beginning they often mixed up the three waste bins. However, others have made several efforts to sort waste, for example between B-3 and other waste

Introduction: Mothers are susceptible to experiencing postpartum blues syndrome during the postpartum period, or the period after giving birth. Rapid mood swings, feelings of sadness, worry, anxiety, and tiredness are signs of this syndrome, and mothers may feel more emotional and anxious, which can impact their mental health. Method: This type of research is quantitative analytical with a cross sectional approach. The population was postpartum mothers and the sample was 38 people with the inclusion criteria being postpartum mothers in the immediate postpartum to early postpartum categories who had previously had routine pregnancy checks in the Garut Regency Development Health Center working area. Data processing was carried out computerized with bivariate data analysis using the Chi Square statistical test. Results: The results of the study stated that 25 respondents had good husband support and 13 respondents had less husband support. Of the 38 respondents, 24 experienced postpartum blues . The results of this study stated that there was a link between husband's support and the incidence of postpartum blues , with a p value of 0.007. Conclusion: there is a connection between husband's support and the incidence of post partum blues, so that people can provide information to each other in preventing post partum blues . Health workers can also continue to be proactive in providing education to someone who plays the role of husband regarding the importance of maintaining the health of post partum mothers both physically and mentally for reproductive health and the health of mother and child .  

Introduction: According to the Indonesian Health Profile (2021), preeclampsia or eclampsia, bleeding, and COVID-19 caused the highest number of maternal deaths in 2021. In 2022, the maternal mortality rate in Indonesia reached 183 deaths per 100,000 live births, with preeclampsia as the main cause. One of the most common maternal health problems in Indonesia is preeclampsia, which has a high incidence rate and causes dangerous complications for the mother and baby. Research and prevention efforts continue to be needed to reduce maternal mortality in Indonesia. Apart from disorders during pregnancy, we as academics who continue to be pro-active in community service activities in our field, must also pay attention to post-partum health. The incidence of postpartum blues in Indonesia will reach 50-70% in 2023. According to WHO, around 10% of pregnant women and 13% of new mothers experience mental health disorders, especially depression. Risk factors that increase the possibility of postpartum blues are the mother's young age, lack of support from her husband, and a difficult economic situation. Method: The method used in this activity is lecture and discussion, using power points and leaflets. Target: Women of Childbearing Age (WUS), pregnant women and post partum mothers. Results: After the educational activity, participants asked several questions, such as how to know whether a pregnant woman is experiencing problems, how many times should she have an examination, and what should the family do if the mother seems stressed after giving birth. With the aim of improving the welfare of pregnant women and babies, Family Centered Maternity Care (FCMC) is a midwifery approach that involves the family. This approach provides good social support to pregnant women, which can help them deal with stress and anxiety that may occur during pregnancy, childbirth and the postpartum period. In addition, pregnant women and their families are given the opportunity to actively participate in decision-making regarding health care, so that they can take responsibility for their own health. Conclusion: When Women of Childbearing Age (WUS) have good knowledge, attitudes and behavior, they will produce a generation of healthy and intelligent children. Health workers and the public must pay attention to the four Ts: too young, too old, too much, and too close. Antenatal visits and postpartum visits, which are types of physical examinations during pregnancy, are well carried out in first-level health facilities.